Graduated: 1988
NPI: 1053489435
Practice Locations (2)
GREAT LAKES SURGICAL ASSOCIATES, P.C.
160 E AVE
LOCKPORT, NY 140943835
7164346141
NIAGARA FRONTIER ANESTHESIA SERVICES LLP
200 OHIO ST
MEDINA, NY 141031063
7166748189
Source: CMS National Downloadable File, September 2026.